NPI | 1871562355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX H3351) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H3351) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2021-05-24 |